My Patient List
The My Patient List app replaces the traditional paper-based list of patients
used by doctors during their rounding process and updated with hand-written notes.
Waitemata District Health Board is well advanced in the use of mobile technology. The next phase in their mobility strategy was to mobilise the “patient list”, which is a paper-based manual process performed by clinicians working in the hospitals.
Currently, these users print or write a list of their patients and rely on this list to conduct their ward round. They also use this list to take notes, reminders and update patient information. This process requires all these notes, reminders and orders to then be entered into their EMR at a later time. This process resulted in duplication of workload, delayed order processing and potentially puts patient information at risk.
Working closely with WDHB clinicians, Mobile Mentor developed My Patient List, a mobile solution that transforms the ward rounding process.
My Patient List combines multiple data sources to present the doctor or nurse with a simple view of the patient’s condition including:
- Nursing observations
- Lab test results
- Medication summary
- Secure images
- Task list
Each doctor can filter their list of patients by patient name, ward or by the name of the consultant.
Patients can be selected or deselected by ticking the check box on the right.
The EWS (early warning score) of each patient is shown on the right-hand edge of the screen with colour codes to indicate whether the patient is improving or deteriorating.
The early warning scores are derived from the Patientrack application from MKM. Patientrack is used by nurses for patient observations, assessments and clinical documentation http://www.mkmhealth.com.au/Patientrack
Timely information is absolutely essential for clinical decision support and the users of My Patient List must be confident that the information on the screen is up to date.
If there is an interruption in the information flowing to the app, a red alert is shown prominently at the top of the screen.
The doctor can add a note during or after the ward round. Previous notes can also be struck off. The notes are made visible to the care team responsible for the patient.
Patient details, presenting complaint and the last note from the doctor after each ward round is show on the patient card.
Lab results, medication summary, observations, tasks and photos can be viewed from the patient card.
A list of all current medications with the prescribed doses is shown in the Meds page.
Laboratory results with dates are shown on the Labs page.
Observations,vital signs and their contribution to the overall EWS (early warning score) are shown on the Observations page.
Doctors can create tasks in a similar manner to the hieroglyphics used on a paper-based patient list during a ward round. These can be used as reminders to order additional lab tests, prescribe new medication or to speak with the charge nurse about a patient’s condition.
Clinicians can take an image of a patient wound and store the image securely as part of the patient’s longitudinal record with a comment.
The clinician can also securely share the image with another clinician for a second opinion.
During this sharing and consultation process, the photo is stored in a secure cloud database and both clinicians can access the photo and provide comments, but they cannot save the photo to the mobile device.
Multiple images can be captured, comments or descriptions can be added and each image is securely stored as part of the patient’s record.
The My Patient List app was built by Mobile Mentor using technology from BlinkMobile and Amazon Web Services.
The technical architecture was reviewed and approved by New Zealand’s Department of Internal Affairs (DIA).
Once the development phase was complete, the app was penetration tested by Insomnia prior and then deployed for commercial use.
Waitemata DHB serves the North Shore, Rodney and West Auckland areas of New Zealand supporting 575,000 people. It provides secondary hospital and community services, employs more than 6800 people and has an annual budget of $1.4 billion.